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Tinea profunda cysticum caused by Trichophyton rubrum.
J Am Acad Dermatol. 2006 Feb; 54(2 Suppl):S11-3.JA

Abstract

A 57-year-old Japanese woman developed multiple subcutaneous cysts located on the pubic region, thighs, back, and buttocks. She had been treated with systemic prednisolone and azathioprine for 3 years because of autoimmune hepatitis. Histologic examination revealed that the lesions were pseudocysts with numerous spores and hyphae. Trichophyton rubrum was identified in culture from the content of several examined cysts. The serum beta-D-glucan level was high (313 pg/mL), and a computed tomographic scan of the chest cavity showed infective embolism in the lung. To our best knowledge, this is the first reported case of multiple-cystic tinea profunda, presumably with systemic dermatophyte infection. Systemic T-cell immunosuppression, as represented by a relatively low percentage of memory T cells and negative delayed-type hypersensitivity tests, is considered to cause this rare manifestation of dermatophytosis.

Authors+Show Affiliations

Department of Dermatology, University of Occupational and Environmental Health, Kitakyushu, Japan. miw-koba@med.uoeh-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16427983

Citation

Kobayashi, Miwa, et al. "Tinea Profunda Cysticum Caused By Trichophyton Rubrum." Journal of the American Academy of Dermatology, vol. 54, no. 2 Suppl, 2006, pp. S11-3.
Kobayashi M, Ishida E, Yasuda H, et al. Tinea profunda cysticum caused by Trichophyton rubrum. J Am Acad Dermatol. 2006;54(2 Suppl):S11-3.
Kobayashi, M., Ishida, E., Yasuda, H., Yamamoto, O., & Tokura, Y. (2006). Tinea profunda cysticum caused by Trichophyton rubrum. Journal of the American Academy of Dermatology, 54(2 Suppl), S11-3.
Kobayashi M, et al. Tinea Profunda Cysticum Caused By Trichophyton Rubrum. J Am Acad Dermatol. 2006;54(2 Suppl):S11-3. PubMed PMID: 16427983.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tinea profunda cysticum caused by Trichophyton rubrum. AU - Kobayashi,Miwa, AU - Ishida,Emiru, AU - Yasuda,Hiroshi, AU - Yamamoto,Osamu, AU - Tokura,Yoshiki, PY - 2005/01/19/received PY - 2005/03/21/revised PY - 2005/03/25/accepted PY - 2006/1/24/pubmed PY - 2006/3/8/medline PY - 2006/1/24/entrez SP - S11 EP - 3 JF - Journal of the American Academy of Dermatology JO - J. Am. Acad. Dermatol. VL - 54 IS - 2 Suppl N2 - A 57-year-old Japanese woman developed multiple subcutaneous cysts located on the pubic region, thighs, back, and buttocks. She had been treated with systemic prednisolone and azathioprine for 3 years because of autoimmune hepatitis. Histologic examination revealed that the lesions were pseudocysts with numerous spores and hyphae. Trichophyton rubrum was identified in culture from the content of several examined cysts. The serum beta-D-glucan level was high (313 pg/mL), and a computed tomographic scan of the chest cavity showed infective embolism in the lung. To our best knowledge, this is the first reported case of multiple-cystic tinea profunda, presumably with systemic dermatophyte infection. Systemic T-cell immunosuppression, as represented by a relatively low percentage of memory T cells and negative delayed-type hypersensitivity tests, is considered to cause this rare manifestation of dermatophytosis. SN - 1097-6787 UR - https://www.unboundmedicine.com/medline/citation/16427983/Tinea_profunda_cysticum_caused_by_Trichophyton_rubrum_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0190-9622(05)01038-8 DB - PRIME DP - Unbound Medicine ER -